Organization
J PAUL FAIRCHILD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME P FAIRCHILD MD (PHYSICIAN)
(850) 484-8220
Entity
Organization
Contact information
Practice address
4541 N DAVIS HWY, SUITE C, PENSACOLA, FL 32503-2783
(850) 484-8220
(850) 484-8260
Mailing address
4541 N DAVIS HWY, SUITE C, PENSACOLA, FL 32503-2783
(850) 484-8220
(850) 484-8260
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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